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o� SAN JOAQUIN COUN1 Y <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �,.. ;P Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �/PORE <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Car I -1 CA JPI WMER4 <br /> Date: L <br /> ddress: 251+ • 'R4F,1 Cr C S City: �tc-wn Zip Code: 01 �2os <br /> ( v <br /> Owner/Operator: O f � r/1cAo L`tqr— Telephone: c1 _ 3 <br /> Program Element: JA (a rProdYarn Record: V� G522-5-0q Inspection Type: RAR n <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: 1'��-- <br /> OBSERVATIONS AND CORRECTIVE ACTIO <br /> R11 v io ficfC�� c�rrereGl ecC¢,oi- : - <br /> MM Wd s `11 026K I . aS., WO aS <br /> i <br /> WOChIC1011112 <br /> rr,o0 -tom- i+e <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: ( Time Out: 1 �— Page hof 1 <br /> EHD 16-24 (2"a pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />